Microlaryngoscopy in Jubilee Hospital,Trivandrum, India

Microlaryngoscopy is a procedure in which the larynx is visualized through a microscope. It thus allows a magnified view of the larynx which is not possible on direct or indirect laryngoscopy.The indications: and To have a microscopic visualization of the larynx in cases of hoarseness of voice which cannot be diagnosed by indirect or direct laryngoscopy . and Biopsy of laryngeal lesions. and For assessment of laryngeal trauma. and Excision of vocal nodules, cysts and haemangiomas and Removal of foreign bodies and Injection of teflon paste in the vocal cords in cases of vocal cord palsy and Laser cordectomy in carcinoma of vocal cord and Dilatation of subglottic stenosis and Insertion of laryngeal stent and Arytenoidectomy in cases of abductor cord palsyTechnique: and Patient is under general anaesthesia and The patient is in Boyce position with flexion of the cervical spine and extension of the atlanto-occipital joint and A smaller size than normal endotracheal tube is used and The laryngoscope is held in the right hand and inserted into the oral cavity till the epiglottis is visualized. The tip of the epiglottis is lifted with the laryngoscope. The larynx is then visualized and the scope is fixed to the chest piece and An operative binocular microscope with 400 mm lens helps in examination of the larynx under microscopeAdvantages: and Magnified binocular vision and Both hands of the operating surgeon are free for carrying out the procedure and Exact precision is achieved when performing laser or cryosurgery and Video attachment to the microscope allows documentation and teaching For More Details:Please Read Microlaryngoscopy

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